Figure 4.

Five most common positive and negative predictors of ECRC for four domains within the Transactional Model. The scale represents the number of quantitative and qualitative studies featuring a particular factor. The number totals to the sum of articles that showed positive or negative factor associations with ECRC (qualitative direct quote, or quantitative significant effect of P<0.05) or showed no effect (qualitative direct quote or P>0.05). Top five positive predictors are based on the highest number of studies where the factor showed a positive association. Top negative predictors are based on the highest number of studies where the factor showed a negative association. (A) Physician-related factors (N=133/152), (B) environmental/organizational factors (N=57/152), (C) patient and family-related factors (N=37/152), and (D) clinical factors (N=23/152). The detailed portrait of studies with references is available in Table 2.